Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00
HMSA Facility/Professional Facility Modifier Low / Median / High Price $848.00 / $2,048.00 / $6,758.00	Facility		$848.00	$2,048.00	$6,758.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $280.00	Facility		$110.00	$110.00	$280.00
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Facility		$870.00	$870.00	$870.00